Active NPI
Iesha Smith, LPC
- Professional Counselor
- Jackson, MS
National Provider Identifier
1396340824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2377
- Practice address
- 1513 Lakeland Dr
Jackson, MS 39216-4829 - Phone
- (601) 939-7990
- NPI assigned
- Dec 2, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2377 | MS | Primary |
Addresses
Primary practice location
1513 Lakeland Dr
Jackson, MS 39216-4829
Mailing address
5652 Highland Dr
Jackson, MS 39206-3516
Other practice location 1
125 S 20th St
Paducah, KY 42001-7100
Phone (270) 575-3247
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, KY, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Suite 497
Augusta, AR 72006
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2377 | MS | MD | Professional Counselor |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Bardwell, KY
- NPI 1669765038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773792000000",
"number": "1396340824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5652 HIGHLAND DR",
"city": "JACKSON",
"state": "MS",
"postal_code": "392063516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1513 LAKELAND DR",
"city": "JACKSON",
"state": "MS",
"postal_code": "392164829",
"telephone_number": "601-939-7990"
}
],
"practiceLocations": [
{
"address_1": "125 S 20th St",
"address_purpose": "LOCATION",
"city": "Paducah",
"state": "KY",
"postal_code": "420017100",
"country_code": "US",
"telephone_number": "270-575-3247",
"fax_number": "270-442-7335",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "IESHA",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-02",
"last_updated": "2026-03-18",
"certification_date": "2026-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MS",
"license": "2377",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.